Joshua Bennett-Johnson, LADC-II, a licensed counselor with 14 years' experience, argues that the for-profit rehab model focuses more on billing, marketing, insurance, luxury amenities, and short-term stabilization than long-term recovery. The article urges readers to scrutinize patient brokering, revolving-door treatment, underuse of medication-assisted treatment, and weak aftercare.

John Makohen emphasizes the importance of family history of substance use disorder without viewing genetics as fate. Citing research on genetic liability across substances, he explains how inherited vulnerability interacts with trauma, stress, sleep issues, pain, access, and social factors and describes practical ways to build healthier responses to daily stress triggers.

Needle exchange programs are often debated from a distance. Michael Cline writes about them from the inside. He remembers using the Lower East Side Needle Exchange during active heroin addiction in the 1990s, learning safer injection practices, accessing clean supplies, and avoiding HIV. His piece is pro-harm reduction, but not simplistic. It asks what these programs can prevent, what they do not solve, and how they could connect more people to recovery.

Kristen Crisp opens her Author of the Month article with a line that refuses to soften the pain: her sister is dead, and the guilt remains. In this deeply personal story, she writes about Robin, a beloved older sister whose cancer history, job loss, family stress, secrecy, and escalating alcohol use made the crisis harder to see until it was too late.

Kristen Crisp closes her Author of the Month series with a funny and uncomfortably honest look at what happens when a sober person steps back into a bar. From the awkward mocktail exchange to loud conversations, sloppy behavior, loneliness, aging, sadness, and social pressure, she describes a familiar alcohol-centered world through a very different lens.

Joshua Bennett-Johnson argues for harm reduction, naloxone, syringe services, safer-use tools, autonomy, and dignity in addiction care.

Rob Kent, Esq. writes from nearly 20 years of work in state and federal drug policy, including his time as general counsel at the New York State Office of Addiction Services and Supports. In this Harm Reduction Series article, he explains how witnessing preventable loss changed his view of harm reduction and strengthened his belief in the full continuum of care. His central question is direct: how can we help people stay alive and get better?

Kristen Crisp’s Author of the Month article tells the devastating story of her sister Robin, whose education, professional success, and social standing did not protect her from alcohol addiction. With blunt honesty and grief, Kristen describes the warning signs, the family history of drinking, the trauma and loss that intensified Robin’s use, and the painful truth that addiction does not discriminate.

Tim Lineaweaver remembers hearing that addiction is progressive as a warning, then discovering a more hopeful truth: recovery can be progressive too. In this personal reflection, he traces the shift from alcohol offering relief to alcohol taking over, then describes the difficult first months of sobriety, the wreckage that had to be repaired, and the gradual return of health, hope, family, and purpose.

Kristen Crisp writes with sharp humor and lived-experience honesty about the reasons she kept drinking for more than 30 years. From low self-esteem and “liquid courage” to the social pressure that made sobriety seem strange, this Author of the Month piece names the loops that can keep alcohol feeling normal long after it has stopped being fun. It is direct, funny, uncomfortable, and deeply human.

Harm reduction is not permission to use. It is a practical plan to keep people alive long enough to have choices. John Makohen offers a direct, compassionate guide to building an overdose safety plan before the most dangerous moment arrives. He covers naloxone, fentanyl risk, reduced tolerance after a break, using a safety buddy, avoiding substance mixing, choosing a safer space, using clean supplies, and writing the plan down so people know what to do under stress.

Addiction medicine can be clinical, complicated, and painfully serious. But sometimes a story arrives that is so human—and so oddly perfect—that it reminds us why the field exists. Dr. Lauren Grawert shares the story of Rick, a newly sober patient whose Antabuse became more than a medication. In one tense marital moment, it became proof, protection, and a turning point in rebuilding trust.